Upper Back Discomfort and Heart Symptoms During a Cold - Family Medicine

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Back discomfort?


Hello, doctor.
Recently, I've been feeling some discomfort in my upper back, but it's not painful yet.
I also woke up suddenly in the middle of the night from a dream, feeling that my heart was racing and experiencing slight discomfort in my chest.
Currently, I have a cold (I visited a clinic where the doctor confirmed it was a cold and prescribed medication).
I would like to ask if these symptoms are related to the cold, and if the discomfort persists, how long should I wait before seeking further evaluation? Which specialty should I consult for diagnosis? Thank you.

Mr. Li, 20~29 year old female. Ask Date: 2021/02/21

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your concerns, it is advisable to first seek a preliminary evaluation from your family physician.
Depending on the situation, a referral to a specialist may be appropriate.
Please note that online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/02/21

More Info


Experiencing discomfort in the upper back and heart symptoms during a cold can be concerning, and it's important to understand the potential connections between these symptoms and your current illness.
Firstly, it's not uncommon for respiratory infections, such as the common cold, to cause a variety of symptoms beyond just nasal congestion and cough. When you have a cold, your body is under stress as it fights off the viral infection. This can lead to increased heart rate and feelings of discomfort in the chest area. The body releases stress hormones like adrenaline, which can cause the heart to beat faster and may lead to sensations of palpitations or discomfort in the chest.
Additionally, upper back discomfort can arise from several factors related to a cold. For instance, coughing frequently can strain the muscles in your back, leading to discomfort. Furthermore, if you are experiencing fever or chills, your body may tense up, which can also contribute to muscle discomfort in the upper back.
The sensation of waking up in the middle of the night with a racing heart can be attributed to several factors. It could be related to anxiety, which is common when one is feeling unwell, or it could be a response to the body's natural fight-or-flight reaction to illness. If you are experiencing fever, your heart rate may naturally increase as your body works to combat the infection.
Regarding the need for further evaluation, if your symptoms persist beyond a few days after the cold has resolved, or if they worsen, it would be wise to seek medical attention. You should consider visiting a primary care physician or a cardiologist if you continue to experience significant discomfort in your chest or back, or if you have concerns about your heart rate.
In summary, while your symptoms may be related to your current cold, it is essential to monitor them closely. If you notice any alarming signs such as persistent chest pain, shortness of breath, or if the discomfort significantly interferes with your daily activities, do not hesitate to seek medical advice. It's always better to err on the side of caution when it comes to heart-related symptoms.
In the meantime, ensure you are resting adequately, staying hydrated, and following any treatment plan prescribed by your healthcare provider for your cold. If you have any underlying health conditions or a history of heart issues, make sure to communicate this to your doctor, as it may influence their recommendations for further evaluation or treatment.

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